Hi!
It is difficult to tell whether this represents an increase in the size of the cyst, or whether it is simply measured from a different angle. Also, there is no comment about whether it is simple or complex, etc. Whatever the case, it does seem to be persistent. A simple cyst (even a persistent one) can be followed by ultrasound. In the case of a possibly enlarging and possibly symptomatic cyst, I think I would take my own patient to laparoscopy. It could be an endometrioma and there could be some other implants of endometriosis causing some of the other symptoms. I would have my laser ready!
I would also be certain to caution that the surgery might not alleviate all of the symptoms though.
I hope I have answered your question!
Good luck!
Dr B
thank you Dr. Brown...i guess as best as you could just by reading results.. i go back in dec to redo transvaginal u/s and take it from there thanks again